Provider Demographics
NPI:1265284053
Name:LINDABEN FOUNDATION INC
Entity type:Organization
Organization Name:LINDABEN FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-461-9442
Mailing Address - Street 1:11720 BELTSVILLE DR STE 500-M8
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3166
Mailing Address - Country:US
Mailing Address - Phone:240-461-9442
Mailing Address - Fax:
Practice Address - Street 1:6001 66TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1775
Practice Address - Country:US
Practice Address - Phone:240-461-9442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty